PARK INTERNAL MEDICINE LLC
NPI 1295554285
Internal Medicine in South Plainfield, NJ

Active since October 07, 2024
1511 PARK AVE, 3RD FLOOR, STE # A, SOUTH PLAINFIELD, NJ 07080(551) 322-6162(551) 322-6173 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Oct 7, 2024 (2 updates tracked since 2024).

About Park Internal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK INTERNAL MEDICINE LLC (NPI 1295554285) is a healthcare organization registered as an internal medicine in South Plainfield, New Jersey and active in the NPI registry since October 2024. The organization lists Sunil Ambalal Patel, Md, as its authorized official.

NPPES Registry Identity

NPI1295554285
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK INTERNAL MEDICINE LLC
Location Address1511 PARK AVE, 3RD FLOOR, STE # ASouth Plainfield, NJ 07080-5568
Mailing Address1511 Park Ave, 3rd Floor, Ste # ASouth Plainfield, NJ 07080-5568 · (551) 322-6162 · Fax (551) 322-6173
Fax(551) 322-6173
Organization SubpartNo
Authorized OfficialSunil Ambalal PatelMd · (732) 725-9027
Enumeration DateOctober 7, 2024
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1295554285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1511 PARK AVE, South Plainfield, NJ 07080

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Park Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1568254373
1511 PARK AVE FL 2
South Plainfield, NJ 07080
(848) 702-3130
✔ PECOSSame address
Internal Medicine
NPI 1972679942
2315 VICTORY BOULEVARD
Staten Island, NY 10314
(718) 477-6900
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1770162364
1 COOPER PLZ
Camden, NJ 08103
(856) 382-6500
✔ PECOS✔ Accepts Medicare59 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Internal Medicine LLC's NPI number?

The NPI number for Park Internal Medicine LLC is 1295554285. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Park Internal Medicine LLC located?

Park Internal Medicine LLC is located at 1511 Park Ave 3rd Floor, Ste # A, South Plainfield, NJ 07080. The listed phone number is (551) 322-6162.

What is Park Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Park Internal Medicine LLC enrolled in Medicare?

Yes. Park Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Park Internal Medicine LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Park Internal Medicine LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.